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Organization
YOUTH LIFE SERVICES, LLC
Active
Organization
YOUTH LIFE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTAYSIA THOMAS LCSW (PRESIDENT)
(540) 210-7624
Entity
Organization
Contact information
Practice address
10908 COURTHOUSE RD STE 102149, FREDERICKSBURG, VA 22408-2658
(540) 210-7624
Mailing address
10908 COURTHOUSE RD STE 102149, FREDERICKSBURG, VA 22408-2658
(540) 210-7624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
01/21/2026
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